| NPI | 1568868453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WY 772) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 5568) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2018-05-27 |